AI Article Synopsis

  • A 72-year-old man undergoing chemotherapy for multiple myeloma experienced testicular swelling 3 years after diagnosis.
  • Following a high orchiectomy, he was diagnosed with plasmacytoma, prompting treatment with isatuximab and dexamethasone.
  • Current follow-up shows no recurrence, highlighting the importance of pathological evaluation for accurate diagnosis and treatment in rare testicular tumors.

Article Abstract

A 72-year-old male patient, who had been on chemotherapy for the treatment of IgG-λ multiple myeloma, presented an enlargement of the testis 3 years and 5 months after the diagnosis. High orchiectomy was then performed, leading to the diagnosis of plasmacytoma. Due to residual disease, treatment with a combination of isatuximab and dexamethasone was initiated. The patient is currently under follow-up without recurrence. While testicular tumors are difficult to diagnose by imaging studies alone and extramedullary plasmacytomas rarely occur in the testis, pathological assessment is critical for treatment planning.

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